Organization Active NPI

Total Health & Wellness Center Inc

  • Chiropractor
  • Durant, OK
National Provider Identifier
1770666752
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3543 Issued in OK
Legal business name
TOTAL HEALTH & WELLNESS CENTER INC
Practice address
1259 N Washington Ave
Durant, OK 74701-2119
Phone
(580) 920-2555
Fax
(580) 920-2666
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Lynn Cottingame, D.C.
Title
Doctor/ Owner
Phone
(580) 920-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC3543 OK Primary

Addresses

Primary practice location

1259 N Washington Ave
Durant, OK 74701-2119

Mailing address

1259 N Washington Ave
Durant, OK 74701-2119
Phone (580) 920-2555

Other identifiers 3

IdentifierTypeStateIssuer
467277639001OtherOKBLUE CROSS BLUE SHIELD
790814OtherOKAETNA
200039580AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000736 OK Part B Supplier - Clinic/Group Practice 6002915683 Receives reassigned benefits from 2 practitioners
Practice locations: Bennington, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2009453Total Health and Wellness Center1259 N Washington Ave, Durant, OK 74701Certificate of waiverJul 5, 2026

National Provider Directory

National Provider Directory

Locations

1259 N Washington Ave
Durant, OK 74701
Phone (580) 920-2555

3004 W University Blvd
Durant, OK 74701
Phone (580) 920-2555

802 N 1st St
Madill, OK 73446
Phone (580) 677-2627

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1770666752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555",
            "fax_number": "580-920-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555",
            "fax_number": "580-920-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "COTTINGAME",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "580-920-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "DC3543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "467277639001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "790814",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.